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Download Caregiver Module Training Manual - Colorado - Caregiver Training.pdf The purpose of the Caregiver Module

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  • Prepared by HCBS Strategies, Inc. JUNE 2018 |

    Caregiver Module Training Manual

    COLORADO LONG-TERM SERVICES AND SUPPORTS (LTSS) ASSESSMENT TOOL

  • Colorado Assessment Tool Training: Caregiver Page 2 of 19

    Table of Contents Purpose ........................................................................................................................................ 3

    Overview of Contents .................................................................................................................... 3

    General Instructions for Completing the Module .............................................................................. 3

    Special Instructions for Caregivers of Children ............................................................................. 4

    Section 1: Caregiver Information ................................................................................................ 4

    Section 2: Primary Caregiver Interview .................................................................................... 11

    Section 3: Recommendations for Assisting Caregiver and Implications for Participant’s Support Plan

    .............................................................................................................................................. 17

  • Colorado Assessment Tool Training: Caregiver Page 3 of 19

    Caregiver Module – Training Purpose The purpose of the Caregiver Module of the Assessment tool is to assess the level of support provided

    by natural supports*; identify situations when a participant’s natural support needs relief or additional

    support; provide important information about how formal services should wrap around what is

    otherwise being provided and will continue to be provided; and identify if paid supports should be

    initiated to relieve the unpaid caregiver providing natural supports.

    The purpose of the Caregiver Module of the Assessment Tool is NOT to:

    • Collect information that would reduce paid services or supports because a natural support is in

    place; or

    • Determine individual budgets.

    To complete this module the assessor will need to ask the participant about natural supports (Section

    1) and, if possible, interview the individuals currently providing natural support to the participant

    (Section 2).

    * Natural supports are unpaid supports that are provided voluntarily to the participant in lieu of 1915(c)

    HCBS waiver services and supports.

    Overview of Contents Many participants rely heavily on friends, family or others for assistance to continue living in the

    community. The type of assistance provided varies substantially and includes assistance such as (but

    not limited to) supervision of safety, personal or medical care, behavioral or mental health supports,

    housekeeping, assistance with managing finances, and provision of transportation. In many cases the

    caregiver’s health may be negatively impacted.

    This module contains three sections.

    1. Caregiver Information – Collects information about who provides unpaid caregiving and the

    type and frequency of support/assistance provided.

    2. Caregiver Interview – Contains assessment items that help identify situations in which relief

    or support is critical for continued informal caregiving.

    3. Recommendations for Assisting Caregiver and Implications for Participant’s Support

    Plan – The items in this section summarize goals and action steps.

    General Instructions for Completing the Module The assessor should complete this module if one of the following scenarios applies to the participant:

    • Initial assessment

    • Participant is enrolled in HCBS but the participant’s natural supports have changed since the

    previous assessment

  • Colorado Assessment Tool Training: Caregiver Page 4 of 19

    The assessor does NOT need to complete this module with participants already enrolled in HCBS where

    there have not been changes to natural supports. However, the assessor should review natural

    supports that are captured in the previous assessment to ensure that any changes are documented.

    Special Instructions for Caregivers of Children This module is intended to be used with caregivers of participants of all ages. For caregivers of children,

    the discussion should focus on support that is provided that is beyond what is expected of caregivers

    of a child of a similar age without disability-related issues. All parents/guardians have expected tasks

    to complete, such as providing age-appropriate ADL/IADL assistance. This module will concentrate on

    tasks that parents/guardians would not typically have to deal with, such as cleaning a treatment port

    or operating a Hoyer lift.

    This module contains language that pertains specifically to caregivers of children under the age of 18.

    This language can be found in orange font.

    Section Instructions

    Section 1: Caregiver Information This section gathers information about all unpaid and paid caregivers in order to create a total picture

    about the amount and types of supports provided by individuals and community organizations. This

    information is valuable for coordinating supports when developing the Support Plan. It is also critical

    to understanding the capacity of caregivers to continue providing support. Information gathered in

    this section can come from a variety of sources, including the participant or others providing assistance.

    This section is used to summarize the type, amount and frequency of unpaid supports provided by

    others (family, friends, others, etc.).

    Assessment Item Guidance

    Section 1: Caregiver Information

    1. Does the participant have assistance in their home?

     No [Skip to Item 3]  Yes

    Indicate whether the participant receives support from unpaid or caregiver(s) in his/her home. The assessor may need to reassure the participant that unpaid or paid support is not a “requirement” for receiving services. Tasks or activities a participant may receive support with include: personal care, housekeeping, money management (such as managing household budget, etc.), transportation, health management, safety, or other tasks/activities that assist with community living. The participant may have more than one unpaid or paid caregiver.

    2. Code the level of assistance in the participant’s home (both paid and unpaid) during the past month.

    • 05. No assistance received • 04. Occasional/short term

    assistance • 03. Regular night time

    For both unpaid and paid caregivers, identify the average frequency of assistance that was provided to the participant during the past month. If the frequency varied, code based on the usual level of support needed. When responding to 2A (Unpaid) and 2B (Paid), consider support provided by all caregivers of that type. For

    Commented [AC1]: Update after automation

  • Colorado Assessment Tool Training: Caregiver Page 5 of 19

    Assessment Item Guidance

    Section 1: Caregiver Information

    • 02. Regular daytime

    • 01. Around the clock

    example if Unpaid Caregiver A provides regular assistance during the day and Caregiver B provides occasional/short term assistance, respond “02” Occasional/short term assistance- Occasional assistance is infrequent and provided as needed. Short term assistance is provided for a limited time, in response to a temporary change in need. Regular night time- Regular assistance is provided consistently and on a recurring basis during the participant’s sleeping hours, but may happen on different days or for different amounts of time. Regular daytime- Regular assistance is provided consistently and on a recurring basis during the participant’s awake hours, but may happen on different days or for different amounts of time. Around the clock- The person receives assistance around the clock. Around the clock care refers to assistance that is provided constantly, throughout the entire day.

    Assessment Item Guidance

    Section 1: Caregiver Information

    3. Identify Unpaid Support and Paid Family Caregivers- For each unpaid support or paid family caregiver, complete the information set below. Unpaid caregivers include individuals who provide support for activities such as ADLs, IADLs, health management or safety and who are not paid for this support. Use age appropriate guidelines to identify support provided that is beyond what is expected of a caregiver of a child of a similar age without disability related issues.

    Item three consists of a table to capture information about the participant’s unpaid caregivers and paid family supports, types of support they provide and frequency it is provided, and whether the caregiver is able to continue to provide support. These columns are described in detail below. Note: A paid family caregiver is a family member who is paid to provide support. Payment may be funded through Medicaid, by another family member, or by another source.

    Column 1 - Caregiver Information • Name • Preferred Phone Number • Preferred Email

    Caregiver is:

    Complete caregiver information. If the participant does not have easy access to the contact information, this can be completed as a